Breana Monique Farris

NPI #1154972354 in Detroit, Michigan

Provider Information

NPI Number: 1154972354
Entity Type: Individual
Name: Breana Monique Farris
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Sep 27, 2019
Last Updated: Sep 27, 2019

Practice Location

Address: 16472 E 8 MILE RD
City: Detroit
State: Michigan
ZIP Code: 48205-1517
Phone: (586) 522-9470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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